Quint Elisabeth H, McCarthy Jenifer D, Smith Yolanda R
Department of Obstetrics and Gynecology, Division of Gynecology, University of Michigan Health System, Ann Arbor, Michigan 48109-0276, USA.
Clin Obstet Gynecol. 2010 Mar;53(1):115-24. doi: 10.1097/GRF.0b013e3181cd4128.
Congenital anomalies of the vagina may be isolated to the vagina or be part of a more complex Mullerian tract anomaly with possible fertility concerns. Patient age, complete assessment of the anomaly before surgery, and the psychologic implications for the patient are important components of the initial evaluation and treatment planning. Imaging, including magnetic resonance imaging, should be used to assess the extent of the anomaly and possibly other organ systems involved. Surgeries for imperforate hymen, longitudinal septum, and low thin transverse septum are relatively straightforward. More complicated surgeries should be performed by a specialized surgical team.
阴道先天性异常可能仅局限于阴道，也可能是更复杂的苗勒管异常的一部分，可能会影响生育。患者年龄、手术前对异常情况的全面评估以及对患者的心理影响是初始评估和治疗计划的重要组成部分。应使用包括磁共振成像在内的影像学检查来评估异常的范围以及可能涉及的其他器官系统。处女膜闭锁、纵隔和低位薄横隔的手术相对简单。更复杂的手术应由专业手术团队进行。
